Population Health Care Coordination Program
Care coordination is a patient-centered approach that ensures individuals receive seamless, well-organized care across multiple providers and settings. By bringing together multidisciplinary teams, care coordination reduces gaps in care, improves communication, and enhances health outcomes. This approach is especially important for patients with chronic conditions, complex medical needs, or those transitioning between care settings such as hospitals, rehabilitation facilities, or home care. The goal is simple: to provide the right care, at the right time, while supporting patients and families with the tools they need for self management and long-term wellness.
At Beebe Healthcare, our Care Coordination programs are designed to meet patients where they are and guide them through every step of their health journey. Longitudinal Care Coordination offers ongoing support, including Chronic Care Management covered by Medicare Part B, while Transitional Care Coordination helps patients safely and effectively move between care settings. Our team—made up of advanced care providers, RN care coordinators, respiratory therapists, community health workers, and ADA-certified diabetes educators—provides disease and medication education, addresses social needs, and collaborates closely with patients and their providers. Whether you’ve recently been hospitalized, are managing conditions such as COPD, CHF, diabetes, or stroke, or need help navigating resources like transportation or future care planning, Beebe’s Care Coordination team is here to support you.
For more information, call 302-645-3337 and select option 4.